However, because of its design, the new study can't establish a direct cause-and-effect relationship between these heartburn drugs and elevated stroke risk. The research only shows an association.

For this study, researchers analysed the records of nearly 245,000 Danish patients, average age 57. All had undergone an endoscopy, a procedure used to identify the causes of stomach pain and indigestion.

During about six years of follow-up, nearly 9,500 patients had their first ischaemic stroke.

Researchers checked to see if the stroke occurred while patients were taking any of these PPIs: omeprazole (Prilosec), esomeprazole (Nexium), Prevacid or Protonix. The researchers also asked about another class of antacids known as H2 blockers, which include Pepcid and Zantac.

The research team found increased risk from PPIs, but none from H2 blockers. The relationship held even after researchers adjusted for other risk factors for stroke and heart disease, Sehested said.

The results were scheduled for presentation at the American Heart Association annual meeting, in New Orleans. The findings should be considered preliminary until peer-reviewed for publication in a medical journal.

Lower doses may be safer

No one is sure why PPIs may have a harmful effect on heart health, Sehested said. He noted that PPIs might reduce levels of biochemicals that are important for the maintenance of blood vessels. Without those biochemicals, people could experience hardening of the arteries, he theorised.

Most PPIs are now available over the counter, and doctors are concerned that people are taking the drugs when they shouldn't, said Dr Philip Gorelick, medical director of the Mercy Health Hauenstein Neuroscience Centre in Grand Rapids, Michigan.

"A lot of people continue to take these medicines for prolonged periods of time, or use these medications for indications that are suspect, or not approved by the FDA," Gorelick said. "So one has to be careful about that."

Using the drugs for a shorter period or at lower doses may prove to be safer, he added.

People who need PPIs and have been prescribed one by a doctor should continue using them, Sehested said.

However, people who started using a PPI without a doctor's guidance, or kept using one after the prescribed period, should talk with their physician about whether they should cut the drugs out.

"A lot of people are using these drugs without a clear indication, such as a clear diagnosis showing they should use these drugs every day," Sehested said. "They should think about quitting those drugs."

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The information on Health24 is for educational purposes only, and is not intended as medical advice, diagnosis or treatment. If you are experiencing symptoms or need health advice, please consult a healthcare professional. See additional information.